|Posted on Saturday, March 22, 2008 - 07:26: |
Dr. Schmuel Halevi,
Patient Age 59 Female, General weakness, continuous pain and pitting edima in lower extremities, pain in flanks and lumber region, very old prolapsed uterus, presence of gall stones, very loud shrill voice, blurred vision, brittle and fungus nails, shabby house, general apathy to exert for orderliness, impatient, highly irritable, nead to clear throat off and on and every time before speaking, diabetic, open mouth when sleeping, slight deafness (not so perceptible but yes, slight), significant weakness after taking bath that needs bed rest for fifteen minutes, jeolous, stubborn, apathy for work, brooding and cribbing over past hurtful events, very early riser by 0400AM, are the symptoms.
Kindly guide as they are so mixed excess and deficiency symptoms involving multi organs!
For a graded treatment, kindly suggest scupoints. Order of priority is - expel gall stones, improve liver function. But if these are fruits and not roots, we need to treat roots. Is my feeling of rooted in kidney qi correct?
|Posted on Saturday, March 22, 2008 - 10:38: |
You indeed, dear Haya, have unlimited optimism...
Yes, I suppose the root problem may lie in the kidneys domain here. I suggest that you prescribe her herbs to expel and dissolve gall stones. There are some pre-prepared herbal formulas for this, if you check the literature. As for chopstick treatment, which I suppose is your question about, I suggest frequent stimulation of all the Shu points on the back, as well as mild to moderate cupping of the Dumai. This suggestion is, of course, very general. This seems to be a complicated case for a mere correspondence based treatment. It may need a long period of acupuncture and herbal treatment in order to achieve substantial clinical results.
|Posted on Sunday, March 23, 2008 - 05:49: |
Dear Schmuel, I understood and appreciate your polite response with a subtle yet clear hint on limitations of correspondence treatment, yet maintaining my motivation!!
But I located M-le-23 Dannangxue Gallbladder in your data base.
Regulates the Gall bladder and transforms damp heat, expels gall stones.
Acute and chronic cholecystitis, biliary colic and hypochondriac pain, cholelythiasis, ascariasis.
Dannangxue/ P-6/ G-40 = cholecystitis.
Located 1 Cun distal to G-34.
Would you not recommend chopstick treatment? I shall start on back shu stimulations, whatever be the worth, even if very general, as advised. Literature says they are sedation points. Should I sedate? Which one should I not sedate? Back shu of Kidney?
She is running down Tripple warmer with finger from TW 23 to TW 1 tracing path backwards to cool the warmer several times a day. I read that this should help her spleen and lower warmer symptoms.
|Posted on Sunday, March 23, 2008 - 07:05: |
It is true that this point, as well as some other points too, is capable of expelling gall stones, eliminating damp heat from the gall bladder etc. Yet, the combination of P-6 and Dannangxue, or G-34 is more suitable for acupuncture rather than chopstick. You need also to consider the size of the gall stones. Less than 1 cm in diameter, is consider possible to excrete. More than this size... not very likely. So, if you have a diagnosis which is favorable for such endeavors, I would take this combo for chopsticks:
B-18/ B-19/ B-20 on the right side + any Ahshi points close to these points. Then:
Liv-14/ G-24/ Liv-13/ Dannangxue or G-34 > whichever of the two is more tender (all on the Rt. side as well).
I shall start on back shu stimulations, whatever be the worth, even if very general, as advised. Literature says they are sedation points. Should I sedate? Which one should I not sedate? Back shu of Kidney?
Do not underestimate this type of stimulation for people suffering from a generalized Fu-Zang weakness or malfunctioning. Just stimulate these points evenly for a general effect on the Fu-Zang. The Shu points may be used for tonification as well as sedation, depending on the condition involved and on your technique. Hope this helps.